Paper
Friday, July 23, 2004
10:00 AM - 10:30 AM
Friday, July 23, 2004
3:00 PM - 3:30 PM
Comparison of Four Malnutrition Screening Methods in Patients Undergoing Abdominal Surgery
Panwadee Putwatana, DSc, RN, Nursing, Nursing, Mahidol University, Rajtheavi, Bangkok, Thailand
| Learning Objective #1: n/a |
| Learning Objective #2: n/a |
Objective: To validate and compare the following nutritional screening methods – the serum albumin and serum prealbumin levels, the Short Form Mini Nutrition Assessment (MNA-SF), the Nutrition Risk Classification (NRC), the Malnutrition Screening Tool (MST), the Nutrition Risk score (NRS) and the Subjective Global Assessment (SGA) in the prediction of postoperative infectious and wound complications. Design: Correlational study Sampling: Purposive sampling Setting: A 900 beds-university hospital, Thailand Methods. Nutritional assessment was performed on 103 patients undergoing major abdominal surgery between November and December 2002. All patients were followed postoperatively for 30 days or till the occurrence of postoperative complications. The ability of the “at-risk” of malnutrition classification to predict postoperative complications was measured by the area under the receiver operating characteristic (ROC) curve for each method and compared. Results and conclusions. All nutritional screening methods were able to predict postoperative complications reasonably well (ROC area between 0.65 and 0.8) but the best predictor was the NRC (ROC area = 0.78).
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